Individual provider Active NPI

Vanessa S Chan, M.D.

  • Obstetrics & Gynecology Physician
  • Oakland, CA
National Provider Identifier
1114960747
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A95098 Issued in CA
Practice address
3300 Webster St
Suite 1200
Oakland, CA 94609-3117
Phone
(510) 653-0846
NPI assigned
Jun 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A95098 CA Primary

Addresses

Primary practice location

3300 Webster St
Suite 1200
Oakland, CA 94609-3117

Mailing address

3300 Webster St
Suite 1200
Oakland, CA 94609-3117
Phone (510) 653-0846

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061213000169 CA Practitioner - Obstetrics/Gynecology 9739188145 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Asian Health ServicesGroup PAC ID 0244271021, 93 clinicians

Practice addresses (Care Compare)

818 Webster St
Oakland, CA 94607-4220
Phone (510) 986-6800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
95098CAMDClinical Social Worker
A95098CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Asian Health Services CurrentSince Aug 16, 2024 Accepting new patients
Asian Health Services Current Accepting new patients
La Clinica de la Raza Inc CurrentSince Dec 16, 2015 Accepting new patients
Asian Health Services CurrentSince Aug 16, 2024 Accepting new patients
La Clinica de la Raza Inc CurrentSince Dec 16, 2015 Accepting new patients
La Clinica de la Raza, Inc. Past Accepting new patients

Locations

818 Webster St
Oakland, CA 94607
Phone (510) 986-6800

3451 E 12th St
Oakland, CA 94601
Phone (510) 535-3319

101 8th St
Ste 100
Oakland, CA 94607
Phone (510) 735-3100

3451 E 12th St
Fl 2
Oakland, CA 94601
Phone (510) 535-3319

220 Hospital Dr
Vallejo, CA 94589
Phone (707) 641-1900

Interoperability endpoints

  • Direct secure messaging: vchan306474@direct.ochin.org
  • Direct secure messaging: vchan727778@direct.ochin.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1114960747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 WEBSTER ST",
            "address_2": "SUITE 1200",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093117",
            "telephone_number": "510-653-0846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 WEBSTER ST",
            "address_2": "SUITE 1200",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093117",
            "telephone_number": "510-653-0846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "VANESSA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A95098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.